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e. fn.. SAN JOAQUIN COUNTY <br />x�r'q <br />EM.r.ONMENTAL HEALTH DEPARTM—AT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax. (209) 468-3877 Web: www.sigov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />Name of Facility: A 4 ¢ r 0 , .I ) Date: - • / <br />Address: I si L Lncgln AivdCity: 1 i'a ( Zip Code: 9S3 T 6 <br />Owner/Operator: <br />i n t, I In -K Co rG l r h n 3, Telephone: 7' 3 6. ii V y <br />Program Element: _7 I Program Record: 36 /U j Inspection Type: <br />Flow Rate (gpm): <br />Flow Rate (gpm): <br />pH: <br />PH: _77" <br />Chlodne (ppm): <br />Cyanuric Acid (ppm): <br />7(J <br />Temp: <br />R inspection on or after: <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety Code Violations and must be corrected as indicated: <br />❑ Filters <br />Qnf V."c' . Cc i�nlr <br />El Pumps <br />( t3 H," dLG n Oa I, C <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool -2 Main Drains <br />SAFETY EQUIPMENT <br />❑ Rescue Pole <br />❑ Life Ring <br />❑ Safety Signs <br />- <br />❑ Lifeguard <br />❑ Pool/Deck Lighting <br />❑ Ladders/Hand Rails <br />❑ Depth Markers/Tiles <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />RESTROOMS <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ Ventilation <br />WATER'QUALITY'. <br />❑ Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />❑ Test Kits <br />MISCELLANEOUS <br />❑ Supervision &Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: <br />Effluent: <br />Time In: �- ��. <br />Time Out: / ' /� <br />(�77 <br />Receiv <br />Inspected'�/�-�bb by: <br />� A <br />� G!// <br />EHD 36-015-8-12 SWIMMING POOL OIR N Page 1 of/ <br />